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If you are a social worker, counselor, doctor, agency, organization, clinic or private practice referring a patient for mental health, domestic violence, or maternal mental health counseling:


Step 1: Please complete the referral form in its entirety.

Step 2: Have patient sign release form below, scan and email to or fax to: 318-656-3729


The patient will be contacted within two (2) regular business days.


*JL Counseling does not provide medication management services or outpatient substance abuse treatment. We also do not determine custody or placement of children.*

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